Acute Unilateral Hypertensive Uveitis in Leptospirosis: A Case Report

Ocul Immunol Inflamm. 2025 Feb;33(2):198-200. doi: 10.1080/09273948.2024.2312237. Epub 2024 Feb 13.

Abstract

Purpose: We report the rare occurrence of unilateral acute hypertensive uveitis in the acute phase of systemic leptospirosis.

Methods: Observational case report and review of literature.

Results: A young male mason from coastal Karnataka in south India, presenting with acute febrile illness, was diagnosed to have systemic leptospirosis. He also had features of sudden raised intraocular pressure with anterior uveitis in one eye, which subsided with medical management.

Conclusion: Leptospirosis should be considered as a differential in the diagnosis of acute hypertensive uveitis.

Keywords: Anterior uveitis; India; glaucoma; leptospirosis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Diagnosis, Differential
  • Eye Infections, Bacterial* / diagnosis
  • Eye Infections, Bacterial* / drug therapy
  • Eye Infections, Bacterial* / microbiology
  • Humans
  • Intraocular Pressure / physiology
  • Leptospira / isolation & purification
  • Leptospirosis* / complications
  • Leptospirosis* / diagnosis
  • Leptospirosis* / drug therapy
  • Male
  • Ocular Hypertension / diagnosis
  • Ocular Hypertension / etiology
  • Uveitis, Anterior* / diagnosis
  • Uveitis, Anterior* / drug therapy
  • Uveitis, Anterior* / microbiology
  • Young Adult

Substances

  • Anti-Bacterial Agents